Rachel Roos Pokorney, LCSW R

Rachel Roos Pokorney, LCSW R Rachel is an expertly trained mental health therapist providing individual and couples therapy

09/02/2026

The internal battle between “I already know what you’re going to say” and “interrupting is still rude.” 😅

Sometimes interrupting with ADHD isn’t about not caring—it’s your brain moving ahead of the conversation while impulse control desperately tries to catch up.

09/01/2026

Sometimes “being easygoing” is actually fear of having needs. 🎭

So you say, “It’s fine.” You go along with what everyone else wants. You work hard to seem unaffected—even when you’re hurt, disappointed, or uncomfortable.

Having needs doesn’t make you difficult. Expressing them gives other people the chance to actually know you.

08/31/2026

Even your therapist can have ADD. 😂 It just means I’ve personally tested plenty of executive-function tools—and learned which ones actually help in real life—so I’m better equipped to help you find what works for your brain.

08/28/2026

Sometimes the clinical term is: “Yeah…that was wild.” 😂

08/27/2026

It may feel like a trap, but there’s a reason therapists ask. Emotions often come with physical sensations—tightness, heaviness, heat, nausea or a racing heart. Learning to notice those internal signals, called interoception, can help you recognize and regulate emotions earlier. Still rude, though. 😉

08/26/2026

“I’m going to bed early tonight.” — me, moments before starting 14 unnecessary tasks and losing all concept of time. 😅

ADHD can make it harder to disengage from stimulating activities, shift between tasks, and accurately sense how much time has passed. So yes, you may genuinely intend to go to bed—and still somehow find yourself wide awake at midnight. It’s not a lack of caring or effort. Your brain just may need more external cues to help make the transition.

08/25/2026

Therapist: “Have you been using the coping skills we talked about?”

Me: “Not really… maybe that’s classified.” ☕️👀

Knowing a coping skill and actually remembering to use it when you’re overwhelmed are two very different things. That doesn’t mean therapy isn’t working—it means coping skills take repetition before they become easier to access under stress.

08/24/2026

When OCD says, “Make sure they’re not upset with you,” reassurance can feel urgent—but the relief rarely lasts. The cycle isn’t about being “too sensitive.” It’s OCD searching for certainty that relationships can’t provide.

08/23/2026

That moment when something your therapist has said 17 different ways finally clicks. 💃

A therapy breakthrough can feel huge—but insight is often the beginning, not the finish line. Lasting change comes from repeatedly practicing a new response until it becomes easier for your brain to access outside the therapy room.

Celebrate the breakthrough. Then keep helping your brain learn it.

08/22/2026

When your therapist asks how your week went and suddenly you need a whiteboard, a timeline, and a full investigative team. 😅

You don’t have to explain everything perfectly—or even know where to begin. Start with the moment that felt the heaviest. We’ll figure out the rest together.

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New York, NY

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+16466534397

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